Individual
BIJAL VINOD PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8010 FROST ST STE 510, SAN DIEGO, CA 92123-4284
(858) 637-4700
(858) 637-4701
Mailing address
4225 EXECUTIVE SQ STE 450, LA JOLLA, CA 92037-8411
(858) 810-0000
(858) 268-1911
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A74638
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A746380
BLUE SHIELD OF CA
CA
05
—
00A746380
—
CA
01
—
CW394Z
NO. CALIFORNIA PTAN
CA
01
—
WA74638B
SO. CALIFORNIA PTAN
CA
Enumeration date
10/06/2006
Last updated
01/26/2021
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